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Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
 
Accomplishing medication reconciliation has proven to be a difficult task in the ambulatory setting. Conducted in four academic primary care clinics, this study targeted medication reconciliation through a multifaceted intervention involving patient engagement as well as training and performance feedback for staff members. Although medication list completion and accuracy both improved significantly, half of medication lists remained incomplete after the intervention, and the majority contained errors. In view of the lack of proven strategies for improvement, The Joint Commission no longer formally scores medication reconciliation during on-site accreditation surveys (although it remains a National Patient Safety Goal).
 
icon indicating hyperlink to external website PubMed citation

icon indicating hyperlink to external website Available at

 
Resource Type:  Journal Article > Study

Setting of Care:  Ambulatory Care > Ambulatory Clinic or Office

Target Audience:  Health Care Providers

   Health Care Executives and Administrators > Quality and Safety Professionals

Clinical Area:  Medicine > Family Medicine

   Medicine > Primary Care

   Medicine > Internal Medicine > General Internal Medicine

Safety Target:  Medication Safety

Error Types:  Epidemiology of Errors and Adverse Events

   Active Errors

Approach to Improving Safety:  Quality Improvement Strategies > Patient Self-Management

   Education and Training

   Communication Improvement > Communication between Providers > Medication Reconciliation

Origin/Sponsor:  North America > United States of America
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